Applegate's Soup & Sandwich Trays (see pictures)

Number of Guests ____________                                                           Today's Date ____________
GOURMET SANDWICH TRAYS
   2.99 Half Sandwich/w grapes       ________
  4.99 Full Sandwich/w grapes        ________
           Chicken Salad     ________
           Turkey & Gouda ________
           Ham & Swiss      ________
           Beef & Swiss      ________
           Vegetarian          ________
    .99 ADD veggies (cucumbers,
           pickles, olives, peppers)      ________

SIDES
    1.99 Garden Salad                      ________
     .99 Cucumber Cole Slaw          ________
     .99 Zesty Potato Salad              ________
     .99 Kettle Cooked Chips          ________

DESSERT
    .99 Chocolate Chunk Cookies    ________
   .39 Scotch Oatmeal Snaps          ________
   .99 Gourmet Brownie Wedge     ________

 DRINKS
       .99 Coke                                     _______
             Diet Coke                             _______
             Sprite                                    _______
              Spring Water                        _______

GOURMET GALLON SOUP
      35.00 With crackers, bowls           _______
                 spoons and ladle(s)
           (16) 8 oz servings
           (10) 12 oz servings
           Chicken & Rice      _______
           Applegate's Chili    _______
           Lobster Bisque       _______
           Chicken Noodle     _______
           Tomato Raviolini     _______
           Broccoli Cheese     _______
           Chicken Dumpling   _______
           Potato Chowder     _______

     .99 Fresh Baked Corn Muffin        _______
Fax to:
314-968-4433

Voice:
314-968-6466

1912 S. Brentwood Brentwood MO 63144

Confirmed by
_____________ (Applegate's) Adobe Acrobat
(perfect 1 page copy)

                                                            (Delivery charge) $__________

______ I'll pick-up my Applegate's Order at _________ o'clock.
OR
______ Please deliver my Applegate's Order at __________ o'clock.

Name:_________________________Phone ___________________

Delivery Address:________________________________________

Company:___________________________________Zip_________

E-mail name____________________________________________

Credit Card#:______________________________Expires:_______

Delivery date________________or Pickup date________________

24 HOUR ADVANCE NOTICE is required.